Emeritol Woods at Eddy Pond LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

EMERITOL WOODS AT EDDY POND LLC

Doing business as

Brookdale Eddy Pond East

Practice address

667 Washington St
Auburn, MA 01501-2722

Phone

(508) 832-8488

NPI assigned

May 14, 2019

Last updated

May 14, 2019By the provider in NPPES

Organization subpart

Yes

Parent organization

BROOKDALE SENIOR LIVING INCAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Joanne K Leskowicz

Title

Senior Vice President

Phone

(414) 918-5000

Specialties & licenses 1

Addresses

Other names 1

• Brookdale Eddy Pond East Doing business as

Part of

Brookdale Senior Living Inc

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1557792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1557792000000",
    "number": "1770149874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "667 WASHINGTON ST",
            "city": "AUBURN",
            "state": "MA",
            "postal_code": "015012722",
            "telephone_number": "508-832-8488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "667 WASHINGTON ST",
            "city": "AUBURN",
            "state": "MA",
            "postal_code": "015012722",
            "telephone_number": "508-832-8488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMERITOL WOODS AT EDDY POND LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BROOKDALE SENIOR LIVING INC",
        "enumeration_date": "2019-05-14",
        "last_updated": "2019-05-14",
        "status": "A",
        "authorized_official_last_name": "LESKOWICZ",
        "authorized_official_first_name": "JOANNE",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "SENIOR VICE PRESIDENT",
        "authorized_official_telephone_number": "414-918-5000"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brookdale Eddy Pond East",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Edlira Duro, M.D.
• Sara Easterling, BCBA, LABA
• Eastpoint Services, LLC
• Rebecca Echevarria
• Shawn P. Eck, PA-C
• Emeritus Corporation (Brookdale Eddy Pond East)
• Emeritus Properties Xiv, LLC (Brookdale Eddy Pond West)
• Lynne L Espino
• Kerry Ann Fagan, MSW
• Family Behavioral Health Inc

• Assisted Living Facility in Auburn, MA
• Providers in Auburn, MA by specialty
• Assisted Living Facility in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.